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Changes in Ability of Hospitals to Provide Pricing for Total Hip Arthroplasty From 2012 to 2016

Educational Objective
To review the challenges in providing price transparency for total hip arthroplasty
1 Credit CME

Over the past decade there has been increasing demand for price transparency in US health care.1,2 A 2014 Government Accountability Office report called on the Centers for Medicare and Medicaid Services to take concrete steps to collect and disseminate pricing information.3 Most US states have legislation requiring hospitals to report price information. A 2012 study identified more than 60 state health care price transparency websites.4 Several private businesses sell price transparency products.5

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Article Information

Accepted for Publication: March 6, 2018.

Corresponding Author: Safiyyah Mahomed, BSc, Division of General Internal Medicine, Toronto General Hospital, 200 Elizabeth St, Eaton North, 14th Floor, Room 216, Toronto, ON M5G 2C4, Canada (safiyyah.mahomed@mail.utoronto.ca).

Published Online: May 29, 2018. doi:10.1001/jamainternmed.2018.1473

Author Contributions: Dr Mohamed had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.

Study concept and design: Mahomed, Rosenthal, Cram.

Acquisition, analysis, or interpretation of data: All authors.

Drafting of the manuscript: Mahomed, Cram.

Critical revision of the manuscript for important intellectual content: Rosenthal, Matelski.

Statistical analysis: Mahomed, Matelski.

Obtained funding: Cram.

Administrative, technical, or material support: Cram.

Study supervision: Cram.

Conflict of Interest Disclosures: None reported.

References
1.
Cutler  D, Dafny  L.  Designing transparency systems for medical care prices.  N Engl J Med. 2011;364(10):894-895.PubMedGoogle ScholarCrossref
2.
Reinhardt  UE.  Health care price transparency and economic theory.  JAMA. 2014;312(16):1642-1643.PubMedGoogle ScholarCrossref
3.
General Accounting Office. Healthcare transparency: actions needed to improve cost and quality information for consumers. 2014. Report No. GAO-15-11.
4.
Kullgren  JT, Duey  KA, Werner  RM.  A census of state health care price transparency websites.  JAMA. 2013;309(23):2437-2438.PubMedGoogle ScholarCrossref
5.
Phillips  KA, Labno  A.  Private companies providing health care price data: who are they and what information do they provide?  J Manag Care Med. 2014;17(4):75-80.PubMedGoogle Scholar
6.
Rosenthal  JA, Lu  X, Cram  P.  Availability of consumer prices from US hospitals for a common surgical procedure.  JAMA Intern Med. 2013;173(6):427-432.PubMedGoogle ScholarCrossref
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